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Organization

AUTHENTIC TRANSFORMATIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARCEL ANTHONY VAN EERD (EXECUTIVE DIRECTOR)
(480) 277-5919
Entity
Organization

Contact information

Practice address
1112 11TH ST STE 301, BELLINGHAM, WA 98225-6654
(360) 225-7073
Mailing address
3617 WESTHILLS PL, BELLINGHAM, WA 98226-4174
(480) 277-5919

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60611766
WA

Other

Enumeration date
12/14/2016
Last updated
12/14/2016
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